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Prevalence and factors associated with preoperative anxiety in children aged 5-12 years

Louise Amália de Moura1, Iohanna Maria Guimarães Dias2, Lilian Varanda Pereira3

  • 1MSc, Assistant Professor, Faculdade de Enfermagem, Universidade Federal de Goiás, Goiânia, GO, Brazil. , Universidade Federal de Goiás, Faculdade de Enfermagem, Universidade Federal de Goiás, Goiânia GO , Brazil.

Insights

Preoperative anxiety affects 42% of children undergoing outpatient surgery. Younger children (5-6 years) and those from socioeconomic class C are more vulnerable, highlighting the need for targeted interventions.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Child Psychology

Background:

  • Preoperative anxiety is a common concern in pediatric patients awaiting surgery.
  • Identifying associated factors is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

  • To estimate the prevalence of preoperative anxiety in children undergoing outpatient surgery.
  • To identify sociodemographic and clinical factors associated with this anxiety.

Main Methods:

  • A cross-sectional analysis was conducted on 210 children aged 5-12 years undergoing hernia repair.
  • Anxiety was assessed using the modified Yale Preoperative Anxiety Scale (mYPAS).
  • Logistic regression analysis identified factors associated with a mYPAS score >30.

Main Results:

  • The prevalence of preoperative anxiety was 42.0% (95% CI: 35.7%-48.6%).
  • Children aged 5-6 years (OR=2.28, p=0.007) and those from socioeconomic class C (OR=2.39, p=0.016) showed significantly higher rates of anxiety.

Conclusions:

  • Preoperative anxiety is prevalent in children awaiting outpatient surgery.
  • Age (5-6 years) and socioeconomic status (class C) are significant risk factors.
  • Multidimensional patient evaluation, including age and socioeconomic data, is essential for early identification and treatment of preoperative anxiety.
Abstract

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